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Mental health
Poor mental health in the transgender and non-binary youths and its influence on healthcare practices and outcomes
  1. Magalie L Alcindor,
  2. Sarah Alvarez-Calupitan,
  3. Ruth-Anne Appleby
  1. Nursing, York College, Jamaica, New York, USA
  1. Correspondence to Dr Magalie L Alcindor, Nursing, York College, Jamaica, NY, USA; MAlcindor{at}

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Commentary on: Chong LSH, Kerklaan J, Clarke S, et al. Experiences and perspectives of transgender youths in accessing healthcare: a systematic review. JAMA Pediatric 2021;175:1159–73. doi:10.1001/jamapediatrics.2021.2061

Implications for practice and research

  • Educating healthcare professionals on how to address feelings and biases about transgender patients can result in safer and more effective care for patients and narrow the gap of healthcare inequities identified in this community.

  • The use of a quantitative study would quantify the number of transgender and non-binary youths impacted by the challenges of accessing relevant healthcare for their psychiatric and medical needs.


Ninety-one studies, involving 884 participants aged 9–24 years across 17 countries, were used for this systematic review.1 Discrimination and major barriers to healthcare were assessed during the study. Transgender …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.